| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,445 |
4,252 |
$209K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
2,866 |
2,771 |
$159K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
849 |
829 |
$48K |
| 92015 |
Determination of refractive state |
2,036 |
1,882 |
$40K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
889 |
812 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
71 |
68 |
$3K |
| S0512 |
Daily wear specialty contact lens, per lens |
21 |
12 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
15 |
15 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$778.80 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
13 |
$456.00 |
| 92370 |
|
12 |
12 |
$414.12 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
16 |
12 |
$338.98 |